Search › New York › 104100000X
Kassidy Russo
NPI 1801706148 · on the registry since 2026
Practice
- Address
- 75 Grand Ave
Massapequa, NY 11758 - Phone
- (516) 799-3203
- Organisation at this address
- Youth Environmental Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 55
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2026-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York